Organization Active NPI

Low Country Urology, P.a.

  • Specialist
  • Florence, SC
National Provider Identifier
1447298906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
163156 Issued in SC
Legal business name
LOW COUNTRY UROLOGY, P.A.
Practice address
1580 Freedom Blvd
Suite 106
Florence, SC 29505-6074
Phone
(843) 661-0402
Fax
(843) 661-0960
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Kevin O'Kelly, M.D.
Title
Physician
Phone
(843) 661-0402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 163156 SC Primary

Addresses

Primary practice location

1580 Freedom Blvd
Suite 106
Florence, SC 29505-6074

Mailing address

1580 Freedom Blvd
Suite 106
Florence, SC 29505-6074
Phone (843) 661-0402

Other identifiers 3

IdentifierTypeStateIssuer
GP1485MedicaidSC
$$$$$$$$$OtherSCSOCIAL SECURITY NUMBER
163156OtherSCSC LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

1594 Freedom Blvd
Ste 304
Florence, SC 29505
Phone (843) 661-0402

1509 W Evans St
Florence, SC 29501
Phone (843) 661-0402

500 Thurgood Marshall Hwy
Kingstree, SC 29556
Phone (843) 354-7461

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447298906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 FREEDOM BLVD",
            "address_2": "SUITE 106",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056074",
            "telephone_number": "843-661-0402",
            "fax_number": "843-661-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 FREEDOM BLVD",
            "address_2": "SUITE 106",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056074",
            "telephone_number": "843-661-0402",
            "fax_number": "843-661-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY UROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'KELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-661-0402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "163156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1485",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE NUMBER",
            "identifier": "163156",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.